Mental Health

Book Review: A Mindfulness Guide for the Frazzled by Ruby Wax

Reading Time: 2 minutes

I was fortunate to go and see Wax perform her mental health show Sane New World. I found Wax to be inspirational, funny and informative. So I bought her book with the same title, which I found to be easily the best book I’ve ever read on the topic of mental health. Then I read Wax’s autobiography How Do You Want Me?

When I heard that Wax was releasing a new book entitled Frazzled, I immediately pre-ordered it.

A Mindfulness Guide for the Frazzled is split into sections, which include: an introduction to Mindfulness, Neuroscience and How Our Brains Work, a six-week Mindfulness Course, Mindfulness for Parents, Babies & Children, Mindfulness for Older Kids & Teenagers and Mindfulness & Wax.

Wax’s story sections spattered throughout Frazzled were fascinating to read. Wax’s occasional drawings and photos throughout the book were also enjoyable.

It was interesting to see the two MRI brain scans on Wax in Frazzled. One was taken before a weeklong silence mindfulness meditative retreat and one afterwards.

The format and structure of Frazzled is pleasing, although Wax could have added a section on Mindfulness for OAPs (Old Aged Pensioners). The six-week Mindfulness Course pages are grey-edged, which makes it easy for the reader to find the course. The exercises in the course did feel repetitive to read and it felt like whole sections from Week 1 had been copy/pasted into the other weeks of the course.

Frazzled shouldn’t be compared with Sane New World, but it’s difficult not to compare the two books. Frazzled is just as informative as Sane New World but not as funny. Frazzled reads like a self-help instructional book on Mindfulness.

Overall Sane New World is a good book, just not as good as Sane New World. Frazzled failed to captivate this reader throughout and failed to inspire this reader to practice mindfulness.

The only section that was not read in this book was Mindfulness for Parents, Babies and Children.

Review soon,

Antony

Support

I recognise that people visiting this page/post might want to know where they can get support.
If you require support around your mental health, addiction or physical health, see this Support page here.

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Mind Map: What Makes A Good Nurse?

Reading Time: 2 minutes

In my day job, I’m a Nurse. I had an experience recently that made me ask the question: What makes a Good Nurse?

I started with a mind map of my ideas (click on the Image for Full Size Image):

what-makes-a-good-nurse
Mind Map: What Makes A Good Nurse?

Despite the size of the mind map, there were loads of other qualities, talents and skills that I simply couldn’t fit on the mind map. These include:

  • A Sense of Humour
  • Patience
  • A Holistic Approach to care.
  • An understanding of and interest in Biology (Anatomy & Physiology), Sociology & Psychology.
  • Basic Life Support – Skills in Cardiopulmonary Resuscitation (CPR).
  • An understanding of public health and health promotion.
  • An understanding of key issues: addiction, smoking cessation, mental health and obesity.
  • Knowledge of both hospital and community services including: what services offer, how they operate and how patient’s can access them.
  • Works Well in a Team.
  • Has Leadership Skills.
  • Aware of legislation relevant to patient care, safeguarding and other legislation related to their field of practice.
  • Has three goals: to prevent patients from getting sick/unwell, to make sick patients well again, and to keep patients as well & healthy as possible.

A Good Nurse needs to have so many qualities, talents and skills. No one person will have everyone of the qualities, talents and skills listed here. But I’ve worked with some fabulous Nurses that have come pretty close.

Nurses work in teams, which is where skill mix comes into play. Having a team of Nurses with a good mix of qualities, talents and skills means excellent patient care. This is because most, if not all of these qualities, talents and skills are met by the Nursing team as a whole.

Is there a quality, talent or skill you think a Good Nurse needs to have that isn’t on the mind map or list above? If so, please leave a comment below.

Write soon,

Antony

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A Review of Goals & New Experiences for 2015

Reading Time: 4 minutes

Goals For Throughout The Year

Unticked Box Read & Review 30 books – managed to read 19 books and reviewed most of them.

Unticked Box Watch & Review 12 films – I only managed to review Jurassic World this year.

Tick Box Bullet Point See a show/gig – saw Ruby Wax Live, Wheatus Live and Nina Conti.

Unticked Box Give up smoking for good. Didn’t happen. Will make a goal for 2016.

Unticked Box Write, Edit and publish a Novella. Didn’t happen due to poor mental and physical health.

Tick Box Bullet Point Arrange & Have a Holiday. I had the adventure of a lifetime seeing two good friends get married in India (see My India Adventure Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, Part 7 & Part 8).

Unticked Box Study Something Pagan/Druid with Chrys & Simon. Didn’t happen due to my poor health.

New Experiences for 2015 by month:

January

Tick Box Bullet Point To start Writing again – my creative writing has stopped, started slowly, stopped and then slowly started again this year due to poor health. But right now, I am writing again.
Tick Box Bullet Point To write a series of blog posts with a ‘Mental Health Focus,’ publishing one a week throughout the month. Done. See Mental Health Focus: 5 Brilliant TED Talks About Mental Health, Mental Health Focus: I’ve Been One of the 1 in 4, Mental Health Focus: A List of Common Conditions & Mental Health Focus: Treatment & Recovery.

February

Unticked Box Try Yoga. Take a Yoga class. – Ha ha, didn’t happen.

March

Tick Box Bullet Point Visit a Museum. I visited World Museum Liverpool in November.

April

Unticked Box See a Sunrise. Didn’t happen. The sun rises far to early for me.
Tick Box Bullet Point Visit a new place. A city or town that I’ve never been to. Does going to India in July count? See My India Adventure Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, Part 7 & Part 8).

May

Unticked Box Celebrate my birthday. A night out to celebrate in style. Possibly in another city or town. Didn’t happen, instead I deliberately made no plans.
Unticked Box Visit a Castle or a Pagan site. Didn’t happen due to poor health.

June

Unticked Box Spend time Walking in Nature. Didn’t happen due to my poor health.
Unticked Box Take time out to celebrate Litha. Didn’t happen due to my poor health.
Tick Box Bullet Point Watch Jurassic World at the cinema.
In addition I said adios Vodafone, after a nightmare trying to upgrade and hello to Giffgaff. I also had My First Fishing Trip.

July

Tick Box Bullet Point Attend Mum’s events. Birthday, etc. I attended my mum and Ian’s wedding and mum’s birthday celebrations.
Tick Box Bullet Point Watch Minions at the cinema.
In addition I enjoyed the sunshine.

August

Unticked Box Visit Chester Zoo’s new Islands exhibit. This was something I really wanted to do this year, I just wasn’t well enough.
In addition I had a marvellous massage.

September

Unticked Box Learn to Knit. Didn’t happen.
Tick Box Bullet Point Donate to charities. I made charitable donations in November.
In addition I discovered the superb Writer Matt Haig, reading a reviewing: The Humans and Reasons to Stay Alive.

October

Unticked Box Celebrate Samhain. Didn’t happen.
I did have a magical evening at the British Musical Firework Championships in Southport.

November

Tick Box Bullet Point Take some time out to relax. I took what-I-call a Life Hiatus.

December

Unticked Box Watch Star Wars: The Force Awakens at the cinema. Didn’t happen.

Overall ill health has effected my ability to achieve my goals and have new experiences this year. In 2016, I hope for better health so that more of my goals can be achieved.

Blog soon,

Antony

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Life Hiatus – My Mental Health In-Patient Admission and Diagnosis of a ‘Mood Disorder’

Reading Time: 5 minutes
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My Name band.

Recently, I had to take an unexpected what-I-call Life Hiatus. My mental health had gradually deteriorated to the point were I was having severe and erratic mood swings. Everyone’s mood fluctuates throughout the day, but not to the extremes I was experiencing.

People talk about good and bad days with depression. I was having good, bad, okay or mixed mood states lasting between 45 minutes to 4-6 hours. These mood swings were unpredictable with no pattern. They didn’t have triggers and were not related to a critical inner voice.

These mood swings were torturous. See My Mood Swing Table below for details of what these mood swings were like.

I felt desperate for the mood swings to end. To the point of having suicidal ideation and a clear plan of action.

I had thought that I was objective about my mental health. But because the mood swings had gradually got worse I hadn’t realised how unwell I was. I sought help because three people close to me said that I wasn’t well. Luckily I had these people around me and knew that could trust them, even if I couldn’t trust myself.

So I went to my local A&E. I was assessed by a Mental Health Nurse and together we decided that I needed admission. I stayed on the A&E Ward overnight, whilst I waited for an available bed on a mental health ward.

The next evening, I was transferred to a mental health ward. On arrival at the ward, my possessions were searched and Nursing Staff took my shoe laces, belt, hoodie (due to cord in hood), phone charger, lighters and medication. The ward layout was a square shaped main corridor with dormitories, individual rooms and many other rooms that where behind locked doors.

The first night was frightening. Everything about the place was frightening. The environment. The locked doors. The routine. The rules I hadn’t been told. The other patients. The staff. I even found my own mood swings frightening. At one point, I was physically shaking uncontrollably due to the fear and anxiety.

I was assessed by a Psychiatrist and commenced on 10 minute observations. It would be a few days before I was reviewed. At the time, I couldn’t understand why they appeared to be doing very little to help me and my state of mind. But afterwards, I realised that they had wanted to observe me and see my mood swings for themselves.

The Consultant Psychiatrist diagnosed me with a ‘Mood Disorder.’ Here is a definition of a ‘mood disorder:’

mood disorder
noun
a psychological disorder characterized by the elevation or lowering of a person’s mood, such as depression or bipolar disorder.

(From: Google, Last Accessed: Friday 27th November 2015.)

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The Consultant Psychiatrist informed me that they were reluctant to give a more specific diagnosis on the first admission to a mental health ward. I told the Consultant Psychiatrist that I didn’t care what they called it, as long as they gave me some medication that worked. I explained that with some stability in mood, I could make further psychological and behavioural changes to help myself to get well and stay well.

I was started on Quetiapine, an antipsychotic and mood stabiliser medication. It was to help to take the edge off my mood swings and give me some stability of mood. I was also started on Mirtazapine, an antidepressant. This was to help to manage the depression/low moods.

Overall, I was an in-patient on the mental health ward for about 12 days. During this time, my Mum and good friend Steve were superb. They took over all my responsibilities and made sure that everything in the outside world was sorted, meaning that I didn’t have to worry about anything – apart from getting better.

I will never be able to thank Mum and Steve enough for what they have done for me, but I have repeatedly thanked them anyway. I will never be able to explain how much I appreciate them for everything that they have done for me, but I have tried to explain anyway.

I feel that I got to this crisis point because I waited so long to get referred to and assessed by Community Mental Health Services. It feels like Community Mental Health Services are designed to keep people out, rather than let people in to get the help and support that they need and in most cases are asking for. This is probably because of a lack of resources in mental health services. But this really doesn’t help and support people with mental health problems to get and stay well.

I have been discharged from the hospital and am and engaged with Community Mental Health Services. Recovery will be a slow and progressive one. I am taking the medication as prescribed, attending appointments with community services and setting myself daily goals that I am currently achieving.

Write soon,

Antony

My Mood Swing Table
Highs
Okays
Lows
Mixed Mood States
Physical Symptoms
  • High energy levels.
  • Very productive.
  • Difficulty in getting/staying asleep.
  • Head aches.
  • Speaking Quickly.
  • Hypersexualised.
  • Relatively symptom free. Considering the extreme High and Low physical symptoms.
  • Exhaustion – despite sleeping for many, many hours.
  • Back pain and stomach pain that doesn’t resolve with appropriate treatments.
  • Head aches.
  • Constipation.
  • Physical anxiety symptoms: raised pulse and blood pressure.
  • A mix of high, low and okay physical symptoms to varying degrees of severity.
Mental / Cognitive Symptoms
  • Racing thoughts – lots of ideas, but struggling to focus on one for long enough.
  • Difficulty in concentrating.
  • A rush of ideas for creative projects.
  • Saying whatever I think without considering the implications of what I’m saying.
  • Grandiose thinking – Thinking I can do anything to a level beyond the level of an expert.
  • Thinking that I understand things on a much deeper level than everyone else.
  • Short-term memory loss.
  • Insomnia and night terrors.
  • Slower mental and cognitive functioning, compared to when I was well.
  • Limited/no concentration span.
  • Short-term memory loss.
  • Critical inner voice.
  • Thoughts about what other people negatively think about me.
  • Insomnia and night terrors.
  • Concern about loosing my mind.
  • A mix of high, low and okay mental / cognitive symptoms to varying degrees of severity.
  • Concern about loosing my mind.
  • Concern about what mood would come next and its severity.
Emotional Symptoms
  • Excessively joyful with no reason for this state of mood.
  • Super confident. Loads of self-esteem.
  • Excessively excited again without reason.
  • Feeling like I can do anything.
  • Feeling frustrated or irritable without a reason.
  • Varying levels of anxiety, from worried to outright panic.
  • Void of any emotion.
  • Zombified. Feeling like what I imagine a zombie feels like.
  • Going through the motions.
  • Despair and hopelessness.
  • No confidence and rockbottom self-esteem.
  • Feeling frustrated or irritable without a reason.
  • Feeling like I am falling down a dark bottomless pit.
  • Feeling guilt, inadequacy and feeling like a failure.
  • Varying levels of anxiety, from worried to outright panic.
  • Desperation – wanting the mental and emotional anguish to end.
  • Feeling like my mind, body and soul are being devoured and destroyed.
  • A mix of high, low and okay emotional symptoms to varying degrees of severity.
Behavioural Examples
  • Being super productive.
  • Being overtly social.
  • Take on too many commitments, thinking that I can do everything.
  • Impulsive behaviours – including excessive shopping, even when I don’t have the money.
  • Unfinished tasks – sometimes being unable to focus for long enough on tasks to complete them.
  • Able to function, but only just.
  • Loss of interest in leisure activities.
  • Unable to watch TV, read or do other leisure activities.
  • Overeating or forcing myself to eat despite having no appetite.
  • Poor personal hygiene.
  • No motivation.
  • Reckless spending of money – mostly through online shopping.
  • Social anxiety – isolating myself and avoiding social situations.
  • A mix of high, low and okay behaviours to varying degrees of severity.

Support

I recognise that people visiting this page/post might want to know where they can get support.
If you require support around your mental health, addiction or physical health, see this Support page here.

More Content From Antony

Here are the books that Antony has published:

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